GeriPal

JULY 21, 2022

I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Emmy: Ended up starting a program, outpatient at our hospital at the time. How did you get interested in this? Is this our role?

Family 102

Family Families IT Diagnosis 102

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). There’s a team now with them behind them making sure that they stay safe and held in our communities. How to make your voice heard and get involved.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. They all self-identified as a hospital based practice.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

SEPTEMBER 21, 2023

Feyron has centered her work in Black/African American faith communities and churches – a program she titled Alter. Alex: And we’re delighted to welcome Fayron Epps, who is associate professor and director of Community and Research Engagement at the School of Nursing at Emory. Why this focus? Karen: Thank you. Alex: Great.

Community 128

Community Family Families IT 128

GeriPal

APRIL 3, 2025

And I also worry about this push towards just amyloid blood testing so as a way of diagnosing Alzheimer’s disease without doing the workup that’s needed beforehand. I believe the age range was over 80 hospitalized patients and showed that relatively light level physical activity, often with weights, improved hospital outcomes.

IT 64

IT Hospital Screening Patients 64

GeriPal

FEBRUARY 23, 2023

Imagine her hearing for the first time that you’re sick, that you’re hospitalized, that you’re in the ICU, and that you can’t make your own decisions? ” and the answer is no, that probably was more just about do you need anybody to support you kind of emotionally or during this hospital stay, just give information to.

Family 97

Family Families Patient-Centered IT 97

GeriPal

AUGUST 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. I just love her conclusion because what she realizes is when you’re first diagnosed… This is research. That’s what normal means when you’re first diagnosed, wanting to go back to before the illness.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. They didn’t feel connected to the people in their broader community.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

SEPTEMBER 1, 2022

We need to figure out how to create this community of palliative care social work scholars. It creates that community where you’re like, “Oh, I’m not alone. And I’ve got a whole community of people to support me.” And then my mom was diagnosed with lung cancer and she was treated there.

IT 102

IT Family Families Clinic 102

GeriPal

JANUARY 30, 2025

Essentially we’re testing the early integrated palliative care model, which is monthly visits with a specialty trained palliative care physician or advanced practice provider for patients who are diagnosed with advanced non small cell lung cancer. Lynn 37:39 I was in the hospital. Lynn, what were you doing in Covid 2020?

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

AUGUST 25, 2022

For-profit hospices having much higher rates of their patients visiting the emergency department and being hospitalized, in addition to disenrollment. Melissa: The other scenario that exists is just disenrollment because an individual is hospitalized. Because people, they go to the hospital, then they revoke. Go ahead, Lauren.

Family 106

Family Families IT Patients 106

GeriPal

JANUARY 26, 2023

Can you give us some examples, even the ones you mentioned in the paper, about how some of these structural races, like these common things that may occur in the hospital or in the clinics that we use, and we may not even think about? You go into this community, perform this study, you leave. Ramona: Glomerular Filtration Raterate.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

MARCH 24, 2023

Usually I don’t put a lot of background on this podcast, but I got to … in November of 2022, Ava Kofman, along with ProPublica, published … well I won’t want to say great, published an article in The New Yorker that I think it was divisive in the hospice and palliative care community. Now it’s 70%.

IT 113

IT Provider Patients Family 113

GeriPal

FEBRUARY 9, 2023

It also feels like, I also grew up in med school in a three hospital system. There’s the variation between the hospitals, feels like there’s cultural issues that play a role. So then you drill down further, just like you said, Eric, when you were going back between different hospitals. Eric: Yeah.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. We got admitted to the hospital, our inpatient palliative team developed their skill set because they had a place to send patients when they got discharged. He’s now hospitalized to break up that methadone into three times a day dosing.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

MAY 9, 2024

Alex: Generally in the hospital-based hospice. Matt: I’m more of a hospital guy. So I think that people like us feel more comfortable just talking to the public because that’s what we do every day of our careers, but not in the confines of a clinic or a hospital room. Alex: Not frequently, no. Sammy: Oh, okay.

Education 127

Education Illness IT Healthcare 127

GeriPal

JANUARY 11, 2024

So I didn’t mention this at the beginning, but after my time as President of Canadian Psychiatric Association, I actually also went on to be the physician chair of my former hospital’s MAID team. Because in medicine as somebody who works in the hospital, there’s always other treatment options. Eric: Thank you Bill.

Illness 144

Illness IT Medical Provider 144

GeriPal

JUNE 23, 2022

So that would be palatable to the community that I could look at, whether we were over-screening those 80 and older. If you know that there’s a group that you don’t treat even after they’re diagnosed, it causes anxiety, but you’re not causing them harms from treatment. So maybe the oldest age group.

Screening 99

Screening PCP PCP IT 99

GeriPal

OCTOBER 27, 2022

As a springboard for this conversation we discuss new prognostic models developed to predict (simultaneously) mortality, disability, and mobility impairment ( Alex Lee first author, JAGS ) and mortality for people with dementia residing in the community ( James Deardorff first author, JAMA IM ). . Those have a very, very long time horizon.

IT 95

IT Clinic Screening Patients 95

GeriPal

JUNE 13, 2024

We need this type of push to make us feel that we are part of a community and we are part of a movement and things are changing because we are around. Eduardo 07:17 Well, we had a palliative care unit in another hospital that was 510 minutes away. Thank you for that gift to our community and to the patients. Is it just loss of.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

AUGUST 8, 2024

You know, in other places, in most rural communities, the dead are laid out in their own beds, which is very often where they died. The thing about green burial is it emphasizes participation by the next of canon, the immediate family in the community. So green burial, I think, works very well. Whatever happens, we try to imagine them.

IT 124

IT Family Families Relationship 124

GeriPal

OCTOBER 3, 2024

They had triple diagnoses, often life threatening illness, but also mental illness and usually some kind of addiction. And, like, you try to find a caregiver’s name in a hospital chart, you just can’t. Eric 36:36 I dare anybody to try to look up somebody’s caregiver’s name in a hospital chart. Yeah, yeah.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

JUNE 26, 2025

But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia. And then when you see clinically patients coming into hospital, they’ll have, you know, they’ll be admitted for aspiration pneumonia.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. So, for example, everyone who was diagnosed with an advanced or metastatic lung cancer had a prognosis on the order of months. Eric 26:47 How soon after from a hospitalization, all.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

Alex: We’ve got a lot to talk about…what states are doing and cities are doing to support older adults in the community. But, what you need is a community-based game there. Equally as important, is if you wind up in an ED or being hospitalized or wind up in rehab, eventually you’re going to be discharged back home.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 21, 2022

Redwing: When you’re diagnosed with cancer, the first thing you think about is when you’re going to die. This has become a community of people all over the world who come together every week. The process of sharing that of literally of reading that poem in community has been amazing. Why not live as long as possible?

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. So it felt like it was being part of this huge kind of change in the whole environment and the whole experience of that community.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

MARCH 27, 2025

The reason I chose this song is because I’m currently working on bringing advanced care planning sessions to the Latino community. In our planning sessions, one of the biggest barriers to advanced care planning in this community is just talking about death. Before the primary care visit. Danny 10:07 Yep, that was the goal.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JULY 25, 2024

Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia. First time on the GeriPal podcast, Liz Lilley, who’s a surgeon and faculty in surgery at the Brigham Women’s Hospital and Harvard Medical School. Liz 00:32 Thanks.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

DECEMBER 21, 2023

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. Eric: And looking back at that time, what do you think the healthcare system could have done to help with that? With your journey, with your dad’s journey- Diane: They could have diagnosed him earlier.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JUNE 6, 2024

Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers. A lot of people, and we have some data to say that you might have distress, but sex is not one of the reasons for your distress when you’re first diagnosed.

Illness 130

Illness IT Physicals Patients 130

GeriPal

SEPTEMBER 14, 2023

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115